Organization
COUNTRY BREEZE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA BECK GRANATO M.S., LPC. (OWNER-COUNSELOR)
(830) 709-0711
Entity
Organization
Contact information
Practice address
16486 FM 463, LYTLE, TX 78052-4514
(830) 709-0711
(830) 772-3808
Mailing address
17875 FM 463, NATALIA, TX 78059-2338
(830) 709-0711
(830) 772-3808
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14243
TX
101YP2500X
Professional Counselor
63654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121971901
—
TX
Enumeration date
09/21/2009
Last updated
09/21/2009
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